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Senior Claims Examiner, Healthcare

Back to Current Openings

Atlanta, GA/Boston, MA/Chicago, IL/New York, NY

Salary Range: $60,000.00 To $80,000.00 Annually

Who are we?

A strategic and trusted insurance partner, Berkshire Hathaway Specialty Insurance (BHSI), provides a broad range of commercial property, casualty and specialty insurance coverages and outstanding service to customers and brokers around the world. Part of Berkshire Hathaway’s insurance operations, we bring our solutions to market with our stellar brand name, top-rated balance sheet, and the expertise of our global team of professionals, who exude excellent capabilities and strong character.

We are a values-based organization where respect, integrity, excellence, collaboration, and passion define who we are and how we do business. We value diversity of backgrounds, experience, and perspectives and strive to foster an inclusive environment that enables all our team members to bring their best selves to work. We are one team committed to building a culture where every teammate has the opportunity to contribute and be recognized. Want to be part of the team building the finest property, casualty, and specialty lines insurance company in the world?

Learn more about our unique culture and history.

Job Opportunity:

Berkshire Hathaway Specialty Insurance (BHSI) has an exciting opportunity for an experienced Multi-Line Claims Examiner to join our dynamic Claims team. The Examiner will be responsible for handling of specialty lines claims and management oversight of TPA claims as well as some handling of individual claim files, collaborating with underwriters throughout the claims process and marketing BHSI Claim Service to customers. We are seeking candidates with a high level of technical skill, as well as excellent communication and interpersonal skills. The position will be based in either our New York, Boston or Atlanta office.

Duties & Responsibilities:

  • Responsible for oversight, managing and adjusting of primary and TPA claims to include; commercial auto, general casualty, errors & omission, accident & health, homeowner and commercial property claims. Ensure high level of customer service and technical claim file quality.
  • Duties include proactive handling of claims from first notice of loss through ultimate resolution, working and advising internal partners on claims, developing a plan of action for ultimate resolution, obtaining budgets and meeting with clients and brokers. Audit and oversite of TPA claims.
  • Provides outstanding customer service and works well with the insured, broker and TPA in the handling and adjudication of claims.
  • Analyze and draft coverage letters as appropriate and communicates coverage positions effectively.
  • Conducts, coordinates, and proactively directs investigation, defense and settlement of claims.
  • Directs and closely monitors assignments to experts and defense counsel.
  • Evaluates information on coverage, liability, and damages to determine the extent of exposure to the insured and the company.
  • Drafts reports, sets reserves within authority or make claim recommendations concerning reserve changes.
  • Travels to audits, conferences, mediations, and trials as necessary.

  Qualifications, Skills, and Experience:

  • Should have a high degree of specialized and technical competence in the handling multi line claims.
  • Minimum of 3 -5 years multi line claim handling experience.
  • College degree preferred.
  • Ability to work independently and assimilate learning materials on many different subjects from various sources.
  • Excellent interpersonal communications and negotiation skills.
  • Ability to work in a team environment.
  • Should have technical competence in all aspects of multi-line claims with particular emphasis on customer service.
  • Experience in handling and adjusting claims in all 50 states and possess required licenses.

BHSI Offers:

  • A competitive package and exciting growth opportunities for career-oriented teammates.
  • A dynamic, action oriented, and thoughtful environment centered on always doing the right thing for our customers, teammates, and our other stakeholders.
  • A purposely non-bureaucratic organization that embraces simplicity over complexity and emphasizes individual excellence in a team framework.
  • Benefits that support your life and well-being, which include:
    • Comprehensive Health, Dental and Vision benefits.
    • Disability Insurance (both short-term and long-term).
    • Life Insurance (for you and your family).
    • Accidental Death & Dismemberment Insurance (for you and your family).
    • Flexible Spending Accounts.
    • Health Reimbursement Account.
    • Employee Assistance Program.
    • Retirement Savings 401(k) Plan with Company Match.
    • Generous holiday and Paid Time Off.
    • Tuition Reimbursement.
    • Paid Parental Leave.

 The base salary range for this position is $60,000 to $80,000, along with annual bonus eligibility. Total compensation for a candidate is determined by their relevant skills, location, and experience. We value our teammates – both their capabilities and character – as demonstrated by our amazing culture.

NOTE: Compensation will be commensurate with experience. This job description is not intended to be all-inclusive. Team Member may perform other related duties as negotiated to meet the ongoing needs of the organization.

Clicking apply will direct you to our recruiting module within ADP.

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    Berkshire Hathaway Specialty Insurance

    100 Federal Street

    Boston, Massachusetts

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    • Perth,
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    • Stockholm,
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    • Toronto and
    • Zurich

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    A Division of the Berkshire Hathaway group of insurance companies.